山西省农村贫困人口医疗救助模式研究

目的 探讨如何将贫困医疗救助制度与新型农村合作医疗制度有效地结合起来,解决支付能力差、消费低的农民的健康问题,并提出适合山西省贫困农民医疗救助的有效运转模式.方法 通过现场访谈及问卷调查的方法收集资料,用SPSS10.0分析数据.结果 在调查地区贫困农民未参加新型农村合作医疗的原因中,想参加但交不起费用的贫困家庭所占比例最高,为41.5%;政府一年需要为榆社和娄烦被调查的449个贫困农民共额外补助4 490.00元,才能使其参加合作医疗.结论 在贫困医疗救助制度的资助下,使得占农村5%或更多的贫困农民能够参加合作医疗,并结合大病统筹、住院补助和特困救济等方式,切实减轻农民“看病难,看不起病”的现状,提高了农民的健康水平.

Research on medical financiai assistant model of rural poverty population in Shanxi province

Objective To explore how to effectively integrate medical financial assistant(MFA)with the new rural cooperative medical system(NCMS)for solving the health problem of the peasants with low income and expenditure,and to propose a reasonable effective running model of MFA in Shanxi province.Methods Interview on the spot and structured questionnaire were used to collect data.Results Among the reasons not attending NCMS in pilot county,that poverty peasants wanted to attend but could not afford NCMS account was a highest proportion(41.5%).Taking Loufan county and Yushe county as an example,the government should subsidize 4 490 yuan for 449 poverty persons(10 yuan per person)so that they could join the NCMS.Conclusion With the financial assistance of the government and the community,more rural poverty population can afford to join the NCMS.Combined with the comprehensive arrangement for serious disease,hospitalization subsidy and destitute households assistance,the health level of the peasants will be better.MFA will provide a solid foundation for the healthy and sustainable development of the NCMS.